| NPI | 1346561313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: VA 0102203751) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102203751) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2024-05-15 |